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Celia Ruiz shoes use an exclusive CoolMax Carbon lining with bacteriostatic traits, which reduces the spread of bacteria. The unique lining is highly recommended for people with skin sensitivities, circulatory disease, swelling of edema, chronic systemic diseases with repercussions on the foot, diabetics, and any other patient required to wear hygienic footwear. Easy off and on with the large velcro vamp which opens right up.  The shoe was also designed for people with large toe deformities.. Insoles are removable and may be replaced with custom orthotics. Outsoles are durable non-slip, rubber and are ideal for indoor/outdoor use.